title: Inappropriate testing for urinary tract infection in hospitalized patients: an opportunity for improvement.
abstract: Urine cultures are frequently obtained for hospitalized patients. We reviewed documented indications for culture and compared these with professional society guidelines. Lack of documentation and important clinical scenarios (before orthopedic procedures and when the patient has altered mental status without a urinary catheter) are highlighted as areas of use outside of current guidelines.
authors.affiliation: Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
authors.forename: Sarah
authors.initials: S
authors.lastname: Hartley
authors.forename: Staci
authors.initials: S
authors.lastname: Valley
authors.forename: Latoya
authors.initials: L
authors.lastname: Kuhn
authors.forename: Laraine L
authors.initials: LL
authors.lastname: Washer
authors.forename: Tejal
authors.initials: T
authors.lastname: Gandhi
authors.forename: Jennifer
authors.initials: J
authors.lastname: Meddings
authors.forename: Carol
authors.initials: C
authors.lastname: Chenoweth
authors.forename: Anurag N
authors.initials: AN
authors.lastname: Malani
authors.forename: Sanjay
authors.initials: S
authors.lastname: Saint
authors.forename: Arjun
authors.initials: A
authors.lastname: Srinivasan
authors.forename: Scott A
authors.initials: SA
authors.lastname: Flanders
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003955:Diagnostic Tests, Routine / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D019983:Guideline Adherence; D006760:Hospitalization; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D058996:Quality Improvement; D012189:Retrospective Studies; D019564:Unnecessary Procedures / Q000706:statistics & numerical data*; D016482:Urinalysis / Q000592:standards* / Q000706:statistics & numerical data; D014552:Urinary Tract Infections / Q000175:diagnosis*; D014556:Urine / Q000382:microbiology; D055815:Young Adult